News and Opinion from Sisters, Oregon

Articles written by Audry Van Houweling Pmhnp


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  • A complex & joyful season

    Audry Van Houweling PMHNP|Updated Dec 3, 2024

    ’Tis the season...the season for holiday wins and pitfalls, connection and loneliness, gratitude and grief, peace and overwhelm. The holidays are a time when we are often met with paradox. The feelings evoked can be vast and varied, sometimes seeming in opposition to one another. \When we ring in the cheer expecting a Hallmark movie special, we risk being disappointed. Amid the hopeful joy, expect it all to feel a bit messy and let’s do our best to disregard the filtered and... Full story

  • Your Story Matters: The aftermath

    Audry Van Houweling PMHNP|Updated Nov 12, 2024

    It has been a long week. I provide care for patients on all sides of the political fence and some who are hoping to avoid the fence altogether. Inevitably, mental health and policy are intimately connected. Patient opinions are frequently shared and I, trying my best to remain neutral, listen. We are all entitled to our own definition of safety and progress. From what I gather, votes on all sides were cast mostly on positions of frustration and fear — not hate. For some, t... Full story

  • Your Story Matters: Reframing resilience

    Audry Van Houweling PMHNP|Updated Sep 24, 2024

    In recent years and especially on the heels of COVID’s onslaught, which generated a potent, collective grief, popular culture has given new fame to concepts such as social-emotional learning, self-care, and burnout prevention. It also put the spotlight on a concept that has long been loved in this country because it evokes sentiments of self-determination, grit, and perseverance central to our national identity. We are talking about the buzz word of resilience. We have all h... Full story

  • The multitudes we all contain

    Audry Van Houweling PMHNP|Updated Jun 11, 2024

    One of my first patients was a pastor. He was esteemed and well-respected — a pillar in the community. I was a newbie in the small town where his roots ran deep. He was a man of conviction and compassion. He spoke with authority. And he was also sometimes hopeless — and desperate. At 26 years old, I sat at my desk sporting my newly printed diploma. I was trying my best to hide my imposter syndrome. Still shaky in my confidence, I kept questioning how could a man who has gui... Full story

  • An ode to Mother Nature

    Audry Van Houweling PMHNP|Updated May 7, 2024

    I am sitting at my office peering at the Three Sisters peeking through the trees surrounded by soft blankets of blushed pink and wisps of orange cream sunsetting on their peaks. I have a lot of charting to do, but tonight feels ripe for a little procrastination. I would rather stare at the mountains. I find myself pondering at how our natural world, with its beauty, renewal, and resilience continually provides an endurable response to the ugliness and suffering our world... Full story

  • Make better decisions

    Audry Van Houweling PMHNP|Updated Mar 12, 2024

    Buying a piece of custom furniture seems like one of those adult rites of passage. In the latter half of my 30s, I have decided to pursue my first custom piece — a couch. Throughout my nomadic adult years, I have been accustomed to second-hand finds complimenting my frugality and boxed IKEA-ish pieces sure to draw out a few expletives as one navigates assembly and too often, reassembly. I feel ready for the custom, “no-assembly needed,” white glove experience. After a prolo... Full story

  • How to make that resolution stick in 2024

    Audry Van Houweling PMHNP|Updated Jan 30, 2024

    How's that New Year's resolution coming along? As I write this, we are just over a week into 2024, which means according to researchers, it has been long enough for 23 percent of us to have not maintained our 2024 aspirations. Still going strong? Kudos to you, but if February rolls around and that resolution has taken a back seat, you are still in good company alongside an estimated 43 percent of folks who shared your month-long resolve. If that resolution happens to stick,...

  • Finding rest amid uncertainty

    Audry Van Houweling PMHNP|Updated Nov 21, 2023

    When you sit with patients long enough, you start picking up on patterns. Individual wellness is often connected to the collective, and with our digitalized world becoming smaller, that collective is more interconnected than ever. Feelings and sentiments are more palpable and like a contagion, can spread. While we may not ourselves have experienced a particular trauma or loss, we have immediate access to those who have, creating a breeding ground for secondary anxiety, fear, s... Full story

  • Radical responsibility

    Audry Van Houweling PMHNP|Updated Sep 26, 2023

    It feels good to have a scapegoat sometimes. The perception that we ourselves are free from blame, and that our challenges are the fault of circumstance or others, is an alluring reprieve from our own culpability. In our attempts to bypass blame, we also put our scapegoats on a pedestal, holding the power to hijack our sense of agency and joy. We live in a shame- and blame-based culture, too frequently practicing outdated beliefs that shaming and punishment are prerequisites... Full story

  • Lady, get lost - a case for solo adventuring

    Audry Van Houweling PMHNP|Updated Jul 4, 2023

    As I write this, I am sitting solo at my camp deep in the heart of the Steens Wilderness. One eye on my journal, and the other on my campfire grappling to sustain itself after a day of unexpected pre-solstice snow and wrathful rounds of high winds and hail. Generally clear this time of year, this time the skies are angry. The sun is finally making its debut out from the west, lighting up the sharp cliffsides of the Little Blitzen River. I can hear the booms of the nighthawks... Full story

  • Your Story Matters – Money on the mind

    Audry Van Houweling PMHNP|Updated Apr 11, 2023

    In my day job, I spend a lot of time talking to patients about relationships. To partners, to children, to coworkers, to themselves, but more frequently, the conversation has shifted to a personal relationship with something too often ignored in the health care office: money. And as it turns out, money has a way of impacting just about every other relationship. In the wake of inflation, warnings of a looming recession, climbing interest rates, and increasing cost of living, mo... Full story

  • The paradox of tolerance

    Audry Van Houweling PMHNP|Updated Apr 5, 2023

    In the world of mental health, we contend with the abstract intersections of nature versus nurture and what behaviors we have agency over versus those we may not. The role of accountability can be hard to define. How do we define who should “know better,” versus who should be excused? When the layers of trauma and struggle are excavated, and the context of a person’s defenses brought to the surface, bad behavior can be interpreted as remnants of survival. Where, then, does... Full story